@Article{Siudak2016,
journal="Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej",
issn="1734-9338",
volume="12",
number="1",
year="2016",
title="No clinical benefit from manual thrombus aspiration 
in patients with non-ST-elevation myocardial infarction",
abstract=" Introduction : There are scarce data on the usefulness of manual thrombectomy among patients with non-ST-elevation myocardial infarction (NSTEMI). Early positive reports were not supported by the clinical outcome in the recent TATORT-NSTEMI (Thrombus Aspiration in Thrombus Containing Culprit Lesions in Non-ST-Elevation Myocardial Infarction) study.    Aim : To analyze the long-term outcome of NSTEMI patients treated with manual thrombectomy during percutaneous coronary intervention (PCI) in the Polish multicenter National Registry of Drug Eluting Stents (NRDES) study.   Material and methods : There were 13 catheterization laboratories in Poland that enrolled patients in NRDES Registry in 2010–2011. Patients with a diagnosis of NSTEMI were divided into two groups: those that were treated with manual thrombectomy for their primary PCI (T) and those who were not (NT).    Results : There were 923 patients diagnosed with NSTEMI in NRDES. Aspiration thrombectomy was used in 71 (7.7%) patients and the remaining 852 (92.3%) NSTEMI cases were treated without thrombectomy during the index PCI. Thrombectomy was more often used in patients with TIMI less than 1, thrombus grades 4 and 5 and older male patients. Percutaneous coronary interventions complications such as distal embolization and slow flow were more often observed in the thrombectomy subgroup. Overall mortality at 1 year was 1.69% in the T and 5.92% in the NT group (p = 0.24 and p = 0.32 after propensity score matching adjustment with p = 0.11 in the multivariate logistic regression model).   Conclusions : There was no mortality benefit from thrombus aspiration in NSTEMI patients at 1-year follow-up.",
author="Siudak, Zbigniew
and Dziewierz, Artur
and Rakowski, Tomasz
and Tokarek, Tomasz
and Mielecki, Waldemar
and Żabówka, Anna
and Plens, Krzysztof
and Dudek, Dariusz",
pages="32--40",
doi="10.5114/pwki.2016.56947",
url="http://dx.doi.org/10.5114/pwki.2016.56947"
}